Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Depa

Individual provider Pharmacist · NPI 1164975298

Jerry Depa is a Pharmacist in Palm Desert, California. Licensed in Arizona, California and Nevada. Registered with an NPI since 2016.

Licensed in
AZ, CA, NV
In the registry since
2016
Specialties on file
3

Practice location Address checks out

39155 Washington St
Palm Desert, CA 92211-1259
Phone: (760) 772-7641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 65239 (CA)
Pharmacist Taxonomy 183500000X · Licence 12508 (NV)
Pharmacist Taxonomy 183500000X · Licence S013144 (AZ)

Record details

NPI number1164975298
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2016
Last updated in NPPESJuly 25, 2016
Mailing address39155 Washington St, Palm Desert, CA 92211-1259

Other providers in Palm Desert